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Comparison of physio ball and plinth trunk exercises regimens on trunk control and functional balance in patients with acute stroke: a pilot randomized controlled trial

*, S Karthikbabu and Nayak, Akshatha and *, K Vijayakumar and *, ZK Misri and *, BV Suresh and *, Sailakshmi Ganesan and *, Abraham M Joshua (2011) Comparison of physio ball and plinth trunk exercises regimens on trunk control and functional balance in patients with acute stroke: a pilot randomized controlled trial. Clinical Rehabilitation, 25 (8). pp. 709-719.

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Abstract

Objective: To examine the effects of trunk exercises performed using the physio ball as against the plinth, on trunk control and functional balance in patients with acute stroke. Design: An observer-blinded pilot randomized controlled trial. Subjects: Thirty patients with acute stroke (mean post-stroke duration 12 (95% confidence interval (CI) 2–34) days) who had the first onset of unilateral haemorrhagic or ischaemic lesion and an independent ability to sit for 30 seconds. Setting: Inpatient stroke rehabilitation centre. Interventions: The experimental group performed task-specific trunk exercises on an unstable surface (physio ball) while the control group performed them on a stable surface (plinth). In addition to regular acute physiotherapy, both the groups underwent 1 hour of trunk exercises a day, four days a week for three weeks. Main measures: Trunk Impairment Scale and Brunel Balance Assessment. Results: The difference between the baseline characteristics of the patients belonging to both groups was not statistically significant. Post-intervention, both the groups improved on trunk control and functional balance but the experimental group improved more significantly than the control group (change scores of between-group comparison for the total Trunk Impairment Scale 3.06 (1.43), dynamic sitting balance 1.47 (1.36) and coordination 1.3 (0.67) subscales of Trunk Impairment Scale; the total Brunel Balance Assessment 1.8 (1.4) and stepping 1.87 (1.6) component of Brunel Balance Assessment). The level of significance was set at P<0.05. Neurological Conclusions: The trunk exercises performed on the physio ball are more effective than those performed on the plinth in improving both trunk control and functional balance in acute stroke patients, suggesting a task-specific effect and also a carry-over effect.

Item Type: Article
Uncontrolled Keywords: Physio ball, trunk rehabilitation, trunk control, acute-stroke, balance
Subjects: Allied Health > Mangalore Campus > Physiotherapy
Depositing User: KMCMLR User
Date Deposited: 04 Jan 2012 10:08
Last Modified: 04 Jan 2012 10:08
URI: http://eprints.manipal.edu/id/eprint/2020

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